Jordan E Burton

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wrightstown, WI

NPI 1073487724 · NPPES record last updated Oct 24, 2025

Key facts

NPI
1073487724
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
747 Park St
Wrightstown, WI 54180-1017
Phone
(715) 573-6367
NPI assigned
Oct 3, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X WI Yes

Addresses

Primary practice location

747 Park St
Wrightstown, WI 54180-1017

Mailing address

800 Algoma Blvd
Oshkosh, WI 54901-3551

Other providers in Wrightstown, WI

All providers in Wrightstown, WI · Student in an Organized Health Care Education/Training Program in Wisconsin

Sources for this page

Verify at the official NPI Registry.